| Term | Definition |
| What is Cobalamin | Vitamin B12 |
| Vitamin B12 deficiency is what type of anemia? | megaloblastic (macrocytic) large red blood cell |
| Causes of Vit. B12 deficiency | not taking enough- diet or missing intrinsic factor, inflammation, genetics, infections, partial gastrectomy, gastric cancer, diviticulitis, tape worms, intestinal bacteria |
| Read | p. 894 table 43-2 |
| Diagnostic test for Vit. B12 deficiency | schilling test, hct, hgb, increased billiruben |
| What is Pernicious Anemia | missing intrinsic factor |
| S/S of pernicious Anemia | pallor, skin jaundice, glossitis-smooth beefy red tongue, fatique, sores on mouth, palpitations, loss of weight, memory loss, Romber test- neuro test-drifting of one arm, paresthesias(classic symptom) |
| Treatment of Pernicious Anemia | increase dietary intake of animal proteins (meat, eggs, dairy products, ) p. 894, brewer's yeast, citrus fruit, nuts, liver, oral supplement of Vit B12, Chromagen Forte, Folacin, Hemocyte-F elixir, nasal and oral spray, injections |